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4138 Pennsylvania AveCASH RECEIPT e r: CITY OF EAGAN ?3830 PILOT KNOB ROAD • ' EAGAN, MINNESOTA 55122 OATE '??° 0(,Jr6t . AMOUNT $ 3 5 7q / -r????? ( -I ?'??Ct.?c?r?c? ?! ?? 1 L u??l rr?r `?'Gfr 1 ? f 8 DOLLARS tao ? CASH HECK ? .? ??: ?'? GG? S? ?,?hf(?????_ L4 FUND I OBJECT I I I NMOUNT Thank You ;. r• % ?, BY ? ' c 016670 ? Mits-Pe"m? Pink-File Capy T- s?..^'^"„Y?RA!'?r _ .,yC*.r^l`-.-`f.i...+.... v:AIJ ?? .. •.rr ..?.- ._"" _ . .. . '?y#•y'T'Ti^'?s'..?T!1+_ f" rii CITY OF EAGAN ,tr r? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 i;,?0C, 3? ? PHONE; 681-4675 BUILDING PERMIT Receipt # ? ? ? ?' W ' ?•-' To be used for SF DWG/CAR Est. Value $141+000 Date QEC 31 , 1 g 91 Site Address 4136 PENMSYLYANIA AVE Lot 2 2 Block 1 Sec/Sub. sTAFFORD PLACE Parcel Na. Name BLILIS CONST w Addres5 b44 SttI?ERItJR CT ? city EAGAN MQi ZP Phone 454-1438 ? Name SAHE 0 Address ? G?Y ZP Phone `-' UC@f1S@ # I hereby acknawlege that I have read this application and state that the iNormation is corr-ect and., agree to comply with all applicable State ot Minnesota Statutes and City of Eagan Ordinances. Signature ol Permitee A Building Permit is issued to: LILIE COPIsT on the express condition that all work shall be done in accordance with all applicable 5tate at Minnesota 5tatutes and City of Eagan Ordinances. BuiWing Ofticial OFFICE USE DNLY R_3 m- I FEES Occupancy ? B?. ?n ?? 783 Zoning V-N 70.50 (Aetual) Consl $umharge (Aliowable) V=N Plan Re?Aew s(}9. ? # of 5tories Length 701 LJcense ? 6 100000 Depth SAC, City S.F. Total - SAC, MCWCC 650'? S.P. Footprints - 660.04 On Site Sewage _ Water Conn On Site Well Water Meter 95.00 MwCC System X 3Q'QQ City Water ); Acct. Deposit 30 •? PRV Required _ S/W Permit Booster Pump - gIW Surcharge .50 276'00 Treatment PI APPROYALS Road Unit 370'00 Planner - Park Oed. Council Bldg. Off. _ Copies ],576.00 , Variance - TOTAL Permit No. Permit Holder Oate Telephone # PLUMBING . HvAC ?- lvG- ??7 ELEcraic ELEcTRic Inspection Date Insp. Gomments Footings I Foundation Framing ? Roofing Rough Pibg. jov- Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. ,d Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Fnal C 192 Deck Ftg. Deck Final weu Pr. oisp. a-?=9? ?? a Sf - _ 1NSYE(.;'1'lUN KLI.; VKl) CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: +ll?NJ A RVf ? ., ? ,,; ,. i ? i?p?•. PERMIT SUBTYPE: TYPE OF WORK: kf• f'A1 ,•, t ;. ;, , 1--i: ;1tspM lall ! 111 [ N 11, A 4c, IDl/16!`4Et INSPECTION D. . .A ? ? Pertnft Holder Date Telephone 11 PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FFAMING ROOFING ROUGH PLUMBING PLEiG AIR TEST ROUGH HEATING cas svc TEST - Y- ? ' INSUL GYP BOARD FIREPLACE fIREPLACE AIR TEST • FINAL PLBG FINAL NTG ORSAT TEST BLDG FINAL - -- ? - DOMESTIC METER IRRIGATION METER FLUSH MAINS + CONDUCTIVIN TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL IWO ? ?-- ,I?..c,•?",? :._,..,;?•? •_-•• --?^.?? 1 . . ? ? .. 1 Cger#i#irafe of (Orr??aury tf tp of (tagart orpr#mrnx of swiding itwprrtivn TJris Ctrtificale issuert pursuant to the requirrnients ojSeclion 306 of the Unijonri BuildrRg Code cern'I1in8 tlrul at tlie time ojissuance this structure x+as in compliance with the vnrioru ordinances ojthe City regulating building rnnsftcGion or use For the foUowing. UPC Cbsfficmim SF DWG/GAR ? Famk w 20003 OWMIM-7R-3 ri-1 ZOWM Dbtrkt R-1 .?cow V-N ?d lb-fidips BLILIE CONST 644 SUPERIOR CT BuaftAddm4138 PENNSYLVANIA AVE LOMWL22, B1, STAFFORD PLACE ?'(4(r? APRIL 13, 1992 P05T IN A CQNSPICUOUS PLACE METER # D P"ilof Knob Rd. an, MN 55122-1897 CHIP # METER SIZE - E DEC 31, 1991 ISSUE DATE _ ADDRESS 4138 PENNSYLVANIA AVE 22 BLOCK 1 SEC/SUB STAFFORD PLACE _ICANT: RESS: , STATE ZIP NBER: RESS: ? r S U ( ??.E, C ? r `' ? Y , STATE ZIP %rS ?2 ? NE: r^ ? ;? - ?c 2 (J ? OWNER: BLILIE CONST j ADDRESS: 644 SUPERIOR CT ; CITY, STATE ?A?+i ? ZIP ' PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CJ SEWER & WATER PERMIT CITY 4F-: AGAN ; 38301'ilot Knob Rd. ; Eagan, MN 55 1 22-1 897 . DATE DEC 31, 1991 USE ONLY PERMITOATE 01/06/92 PERMIT # 12481 B.P. RECEIPT # C 016670 B.P. RECEIPT QATE 12 31 91 - BOOSTER PUMP PERMIT REOUESTED x SEWER X WATER _ TAPS COMM/IND X RESIDENTIAL X NEW _ EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit ILL NOT be given for Deduct Meters. o-' 1 AGREE TO qOMPLY WITH CITY OF EAGAN QRUJNAMCES SIGNATURE WHEN METER ISSUED 454-5220 FOR INSPECTIONS. FOR STORM OFFICE USE ONLY METER #VS9 -717 35 PERMIT DATE cHiP # -6.2 q I d 9 p R PERMIT #- METER SIZE F?? B.P. RECEIPT # C 016670 ISSUEDATE Y" 6 ~-t X B.P.RECEIPTbATE 12/31 91 _ BOOSTER PUMP SITE ADDRESS 4138 PENNSYLVANIA AVE lOT 22 BLOCK i SEC/SUB STAFFORD PLACE APPLICANT: ADQRESS: CITY, STATE ZIP PHONE: PLUMBER: _i?C' t,< <<C u`. . ADDRESS: -0 CITY, STATE ZIP PHONE Fs - ? 2 ? BLILIE CONST S. 644 SUPERIOR CT STATE EAGAN MN ZIP 454-1438 iG• PERMIT REQUESTED X SEWER X WATER - TAPS - COMMlIND _X_ RESIDENTIAL x NEW - EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit 1LL NOT be given for Decluct Mesers. "an, lti ? I AGRE TO CIOMPLY WITH CITY OF EAGAN RD ANCES SIGNATURE WHEN METER ISSUED O1/06/92 12481 ?r..,.LEIF ??, ? r:(ru ?,•r? 1?- i y -Yr3. EAS ALLOW TWO WORKING DAYS FOR PROCESSING, CALL 454- 220 F.O INSPECTIONS. FORi/ S ORM WER PERMITS, CONTACT ENGINEERING DEPT. r+. ? RE: ' 4138 PENNSYLVANIA AVE DATE: JAN 6 1992 _ BLILIE X Your Sewer & Water Permit tor the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the foilo.wing reasons: _ Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay tor meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454•8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIREU BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TUHN ON POLICY. Secrelary, Building Inspections Dept. CITY OF EAGAN P??'? O O O 3 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 681-4675 Receipt # C Duw Tobeusedfor SF DWG/GAR Est.VaWe $141,0 Site Address 4138 PENNSYLVANIA AVE Lot Zz 81ock 1 Sec/Sub. STAFFORD PLACE Parcel No. Name BLILIE CONST W Address 644 SUPERIOR CT Z o City EAGAN MN Zjp Phone 454-1438 cc Name SAt+iE v Address ? citY ZP Phone Licerse # I hereby acknowlege ihat I have read this application and state that the infarmation is correct an ee to comply with all applicable State Qi Minnesota Statules and o Eagan Ordinances. Signature of Permitee 'h'? A Building Permit is issued to: LILIE CON T on the express contlition ihat alltwerli shall be done in accortlance with all applicable State of Minneso?ta pStatuleIs and Ciry oi Eagan Ortlinances. Building OHicial q ? I lv1fLJ.1.PA.fA•! ? f ' 0 Date DEC 3 1 , 7gQL OFFICE USE ONLY FEES Occupancy R-3 M-1 783 00 Zoning R-1 Bldg. Pertnd . (nctuap Const ?!-N Surchatge 70.50 (Allowable) -V---N pyn RevAex, 509.00 R of Stones Length 701 Lics'se Deplh 46' SAG Ciry 100.00 S.F.TOtal - SAC,MCWCC 650.00 S.F. FoatOrints _ 660 00 On Site Sewage _ Water Conn . On Site Well - Wafer Meter q s_ nn rnwcc system ?L 30 00 City Water x_ Acd. Deposil . PpVRequired _ S/WPermit 30•00 Booster Pump - S/W Surcharge • 50 Treatmem PI 276.00 - APPROVALS Road Unit 370.00 Planner - park DeO. Council _. BIdg.OM. _ Capies 3 574.00 Variance - TOTAL , ? /5? 9? ? 5? /D SL S4 46 i 4 7 l ?La 6a. °° ? Repuest Date / ` Fire No. Rough-in Inspectlan He9uiretlT ? Ready Now W II NoMy In:yector ?en ReeG ? ? Yea ? No y IX licensed contractor O owner hereby request inspection of a6ove electrical work at: Jab AtlGress (Street, r Route No.) Ciy 13 Sxlion No. Tovmship Nema or N9r Renge No. Cou, l Occupa ?PRINT (/1 • l...E? V?[I? PM1One ?o. // . T ? ?? CJ r uppli ? AtlEress ? '/i A? Eleclncal nvactor ?COmpairy Nama) ? a Caniractor5 License No. 7 -T 4Le_.-, D 3 Maling Atltlress (COntract i l. r Owner Making Installation) ?337 AuRp.iz ignatu ICO actor/Owner Ile ) PYwne NumDer NINNESOTp STATE BOARO OF ELECTPICITY THIS INSPECTION REQUEST WILL NOT Gtlpps-Mltlwey BIOg. - Noom S113 9E ACCEPTED BY THE STATE BOARO 1821 Unlversliy Ave., St. Fsul, MN 55106 UNLESS PPOPER INSPECTION FEE IS - Phone (612) 642-0800 ENCLOSED /, / ?? REOUEST FOR ELECTRICAL INSPECTION / y? ? See insimctions for <ompleting Ihis form on back of yellow copy. 274r, -fth 'X° Below Work Covered by This Request ??`" ?'T%, EB-00001.06 e Atljf Rep. TypeofBuilding Ap0liancesWired EquipmentWiretl Home Range Temporary Service Duplex Water Heater EIectric Heating Apt. Building ryer 4 ther (Specity) Comm.llntlustrial urnace Farm Air Conditioner Other (speciy) Cornraciwk Ramarks: Compute lnspeclion Fae Below: # Olher Fee # ServiceEniranceSize Fee # CircuitsFeeders Fee Swimming Poal 0 to 200 Amps jSj O to ioo Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs mweqo.s use oory: /? TOTAL Irrigation BoomS ? Y.o ? Special Inspection Alarm/COmmunicetion THIS INSTALLATION MAV BE OHDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO S. I, the Electrical Inspector, hereby certifythatiheaboveinspectionhas been made. 'nn) oete OFFICE USE ONLY This reque5t voi41B monlhs Irom Address:4138 PENNSYLVANIA AVFI,ot 22 Slk 1 Sec/Sub STAFFORD PLACE These items were/were not complete at the time of the final inspection. p ; APRIL 13 1992 Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent drivaway Permanent gas ? Sod/seeded grass ? Trail/curb damage Porch ? Basement finish ? Deck Pleasa verify vlth the bullder the removal of roof test caps from tha plumbing system and the shut-off of watar supply to the outside lawn faucet before freeze potential exists. ? White - City copy Ye11ow - Resident copy Pink.- Contractor copy ?--3 S 3 RESIDENTIAL 4?1 BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 851-681-4875 Hew Constructbn RequlremeMa • 3 registereA sRe sunreys showing sq. ft. of bt, sq. tt. of fwuse; and ?II roofed areas (20% m"mum bt coverflge albwed) • 2 copies of plan showing beam & weWOw sizes; poured found desfgn, etc.) . 1 &et oi Energy Calculetbns • 3 copies ol Tree Preservatbn Plan N bt pletled atter 711/93 . Rim Joist Detail Optbns selectlon sheet (bldgs witli 3 or less unils) DATE - 7? kl)- SITE ADDRESS MULTI-FAMILY BLDG _Y ?W n , TYPE OF WORK rL('(hl') FIREPLACE(S) /_x_ 0_ 1_ 2 APPLICANT STREET ADDRESS -7 1 "TJ m lIYtt hr,l.l4 j2 TELEPHONE # 619-79lf-03WICELL PHONE # FAX # PROPERTYOWNER P'helr? PP/?.l'Gl TELEPHONE# <Q?I- ?vtS7o- 7a, yp ----------------------- ---------------------- ----------- ------------ --------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RULFS 7670 CATEGORY 1 14INNESOTA RUI,F_S 7672 0 submission type) • Residential Ventilation Category 1 Worksheet Submitled • New Energy Cotle Worksheet Submitted . Enefgy Envelope Calculations Submitted Plumbing Conhacfor: __ Plumbing system includes: Mechanical Contracfor. Mechanical system includes: Sewer/Water Confractor. Phone # Phone N Fee: $70.00 """"'°-°-°""""""""""-"""""""'--------"""""'-"""""""----- I ???'?.?'? I hereby acknowledge thai I have read this application, state that the information is co t and ag??YR.C ly with all applicable State of Minnesota Statutes and CiTy of Eagan Ordin nces. Illi 1 lJU[ Signature of Applicant ` _........._..-°-----_......_...._._------..._-°-°._.._??_.___r......_._? OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Requlred _ Updated 4/02 Water Softener Water Heater No. of Baths _ Phone # Iawn Sprinkler No. of R.I. Baths _ Air Conditioning Heat Recovery System pemotleUHgpalr Heaulrements • 2 coples of plan • 1 set of Energy Cabulations for heated add'd'ans . 1 stte survey for ebedor atltlilions & decks • Indicete N home served by septk system for edd'Abns VALUATION # .I `J? 7I oZ .I"' ZIP as Fr 7s_ 0 9?2 Fee: $90.00 OFFICE USE ONLY ? 01 Foundatbn ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex 0 06 04-plex ? 07 OSplex ? 13 16-plex ? OB OB-plex ? 16 Fireplace O 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 laplex O 19 Lower Level ? 12 12-plex Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Poroh/Addn. (4sea.) ? 23 Poroh (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Att - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 38 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Aiteration 0 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bidg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC UniTs Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. _ Footings(deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Framing ? Siding Stucw Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Suppy & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Searoh Copies Other Total Approved By Building Inspector " 1991 BUILD2ING POE ? ?3TION CZTY OF EAGAN SINGLE FAMILY DWELLINGS ?NLTIPLE DWELLINGS C0MMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCIILATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS # OF FOR SALE UNITS PENALTY AYPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUYPZ? NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MIJST DESIGN DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS S E ?31199? OM PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A IIT HAS BEE N PERMIT MUST SHOW A LICENSED PLUMBER. ? To Se Used For: ?% pa?? 1 L-- ValuaEion: 0c) J Date: Z -3 6` ? ? Site Address yi ?j, 9?? f OFFICE USE ONLY Lot Z Z. Block FEES r? Occupancy R-3 M-I Bldg. Permit Zoning R_1 Surcharge "7D . 58 Parcel/Sub Actual Const V-N Plan Review SC7 . aa Allowable V-N SAC, City OO.OO Owner # of stories SAC, MWCC Sbina Length ? S Water Conn. O.OJ Address Depth 6'• y' Water Meter _ ', OC? S.F. Total Acct. Deposi t 30.o° City/Zip Code Footprint S.F. 5/w Permit 30,4" ' S/W Surcharg e p Phone On site sewage_ Treatment P1 . ,00 On site well Road Unit 0,00 Contractor MWCC System ? Park Ded. ?-? City water ? Trail Ded. Address 124 ??Z=1n t? L? PRV Copies Y = Booster Pump City/Zip Code r ,.._- SUBTOTAL APPROVALS Penalty 'r Phone ?4) 3 g Planner Lot Change _ Council TOTAL Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone # agrees that all work shall be done in accordance with (Sig tur of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. VA ?UA-nof , ?.., NLl X z2: 96$ / ?ox az: 2zo ? I I 88 K I S? 17 8 2a ?sMr, !6x ? ? L)LtK- ? ?X1d ? ?o 4X8 = i S ?0 x ?y - `7g Nv ?'/?:• ? 53 = y 32c? ?` ma ?N ??t,?ts 341 x zy = 's??, X.7 _ 7D l6 XZ% ? uu9 I X/o - ?o I 34y KS3% r??,Z 3'z ., . _. '? )y0) lNo o/c 1141,vad _ ?. . Certificate For: ? ! • - Wayne „BJ.ilie 15,7/101 ? .? Bli'lie Construction , inc. I 649 Superior Court Eagan, MN 55123 DELM.AR H. SCHWANZ ? LAND SVPVEYORS,INC. ? . Registereal VnEe, Laws ol The Slete of MinAeeMa ' • 14750 SOUTH ROBERT TRAIL ROSEMOUNT, MINNESOTA 55088 612/423-1769 SURVEVOR'S CERTIFICA7E Scale: 1 inch = 30 feet 7f'`..'b?rNN = Iron pipe monument N N ? k- i = Set wood hub = Existing spot elevation • 92g.1 ? gs??\._ 9z3. raP ?8?-: s 93 . ? \` \ o N ?lrs , m"` ,? Gc q M ?. ?? I, ! v 7c P 92g 1 ? ? ?--7DP Nd6 ? ', ?jg •J 96] F 14 I . .' . . ,??'I ? /l?? s? m "P•>f? J .? ; . . Y ?? ?p NO': e ry ? J Proposed garage floor elev. 9344,23 ? v\] ? q3?? Proposed top of block elev. 93Z,?5- Proposed;lowest level elev. Zq 4.? ro 3 N <0 ? Description: , 1 ? Lot 22, Blvak 1,. STAFFORD PLACE, according % to the recorded plat thereof, Dakota County, ? Mi.nne?ota. , - / L O T Also !howing the location of a proposed Z Z -/ housejas staked thereon. 1-- -- -- - - - ? / I , i i 0 9 i ??- C, 5. A. ,y. iVo, 3v ?3y ?brCFLsc Y ?I DdtO ; $A ENG%NEERING LJEP'F I hereby certity that tMs aurvey, plen, or reDOrt was prepareE by me or under my Oirect aupervision and fhat I am a Ouly Registared Land Surveyor unAer the lawa of the Stete of Minneaota. oeted 12-30-91 . ?• ? EXTERIOR ENVEL'OPE AYERAGE •U' COMPUTATION ONNER S(TE ADDRESS („? ZZ $4Ocr?rST,cf.F'4agZ?, PLAc-E CONTRACTORX-1IZ& t'o2t4nvC7 10.LI DarE PHONE 4SV DetermSne working square fo0tege Of eath, 1. Total exposed wall, area .,.,.,??£3, f?ll tq, ft. x_ ,17 + Z fl 2. Total ruof/c.e;lin.) arEa .,,,, (D 2? S.oo iq. Pt. z-,OS' •?y,z??' Tota1 expo?ed r:a11 area ebove floor •(2 G n.oo a. Total wail Nindow area,,,,,,,,,,,,,,,,,,,,,,,a 6, 064 b. Tota1 door area ,,,,,,, ,,,,,,,,,,,,,,,,,,,,,,, ?,g/ c. Tota1 sliding ylass door ?prea ,,,,,,,,,,,,,,,,,,, ?,e1?T_ d, Total fireplace wa11 area,,,,,,,,,,,,,,,,,,,,,,,, .ft e. Totxl wall frarning area (average 10%)..... .,.,.., .-1?? f. Total net wa11 area above ftoor ,,,,,,,.,, g. Total rim joist area .,...,..... . ................ _/12_ed Total e>;posed foundation area t 9'j.ia ? h. toCai foundztion window area,,,,,,,,,,,,,,,,,,,,,, 747 i. Toai net foundation area above gre G9 ,,,,,,,, Detcrmi(ie "U" value of each wail segment. a. BG• OD ? x °u" .. ? 5? • 47- 30 b, 37-5/ z "U° q/ X Mu" ? .?_ • ZtO/ . e._ ^ x ^v^ ,. - . ? e._ 13 i. 3 E) z ?.U' •(Z f. 04071 x ?U» ?07 5'4.41 9•_ I( 4-00 A RV• _ O4 f h.` x "U. • SS t,_ F?5-93 X ^u• t 47 • 4°.3f' ? 3, .......?.? ............. .... Total • 2D? !_Z9-1 If item 13 1s the sam2 as, or less than item 11, you have aet the intant of SEC 6006(c)2. , , _. : ?otal exposed roof/ceiling aree • _ 0 Sf DO j. Total skyliqht area ............................. k, Totai roof/ceiling framin9 area (average lOq)... ' t. Total net insutated roof/ceiling area........... Determine "U" value for each root/cetlinq segment. j _ K "U" k. X AW lll l 1. 1 9 D).00 u z pV a .......... ...l,...,..,,. ¦ a. . O !' 4/•Z f? . Totat • !f total of 04 is the same as, or less than l2, you have met the intent of SBC 6006(c)1. i Atternate euilding Envelope Design To utfiize the total envelope system method, the vatues establlshed br the sum of items A3 and 04 shall not be greater than the sum of itchns ll ar?d 02, 1. i3a -14___ ---- + 2. ??'c/.2 ? • 2 8 4•3 9 -? s. zo?.z? _ + a,, 5804 Melody Lene Bumwille, Minnasota 69p3083 s: 'i WEPJA CO. PL,AN SERVICE ED ANDER80N ARCNIr[GTURAL O[lIaNINO "O ?LANNIMG Offies: 1329.Ctill~ Z30 71t&G'k RrOA2' 0/fica: Bumnllb, Minrrtsote e? x«,& 89Q4636 ? CITY USE ONLY LOT 44 BL ? RECEIPT #: 91193 SUBD. e-e_. RECE[PT DATE: 1998 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT PINOS RD EP,GAx MAI 55122 r']_ ^? (612) 681-4675 Date• `? ? i cZ Complete this section onlv if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets ( minimum of one requued @$3.00 ea.) • State Surcharge: .50 • TOTAL: Complete this section onlv if you aze remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not reauired for alteration/add-on to ductwork in existing residential units; but is required for the foilowing: Install furnace Install air exchanger, i.e. Vanee system, etc. Install air conditioning ? Othe\-?G, ? G?y?p ??aS I i Y\ -p., Minimum fee applies to all remodel or add-ons of existing residences State Surchazge SITE ADDRESS: OWNERNAME: ? INSTALLER NAME: _ STREET ADDRESS: 11 TotaL• $ 20.00 .50 $ 20.50 ?PHONE #: -T O PHONE#: STAT'EM f'? ZI . SIGNATURE OF PERMITTEE 1S/FORMS BLD/MECH PERMIT (RES) - 1998 CITY USE ONLY L BL SUBD. RECEIPT #: RECEIPT DATE: 1998 MECHANICAL PERLdIT (CObmlERCIAL) CITY OF EAGAN 3830 PILOT RNOB RD EAGAN, AIIi 55122 (612) 681-4675 Please complete for: all commerciaVindustrial buildings multi-family buildings when separete permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR I_NLpRQVEnENT DESCRIPTION OF WORK: FEES: I% of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x 1 % PROCESSED PIPING PERMIT FEE STATESURCHARGE TOTAL ($30 per $1,000 of certnit fee due on all pertniu.) SITE ADDRESS: OWNER NAME: PHONE #: TENANT NAME (IMPROVEMENTS OM.l): INSTALLER: ADDRESS: CITY: SIGNATURE OF PERMITTEE PHONE #: STATE: ZIP: CITY INSPECTOR --" d CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-72500-220-01 DESCRIPTION: PERMIT PERMITTYPE: auzLoiNG Permit Number: 0 3 2 5 4 6 Date Issued: 0 7 f 16 / 9 8 4138 PENNSYLVANIA AVE LOT: 22 BLOCK: 1 STAFFORD PLACE STORM DAMAGE 6rUildin'g Permit Type STORM QAMAGE ,>puilding )Work Type REPAIR (=Census Gode434 ALT. RESIDENTIAL /t '^ 4 / j f' r r.. .t. ...? - ., ,_ . , ?P _ ? .. . REMARKS: FEE SUMMARY: CONTRACTOR: - Applicant - sT. iIC OWNER: RqNEL RES70RATIONS 14351932 0002158 OFFEGARO AL P 0 BOX 240744 4138 PENNSYLVANIA AVE APPLE VALLEY MN 55124 EAGAN MN (612) 432-3444 (651)686-7240 I hersby acknowledge that I have read this applicatinn and state that the infiormation is correct and agres to comply with all applicable.StaCa of Mn. Statutes and City of Eagan Qrdinances. L J APPLICANT/PERMITEE SIGNATURE ISSUED BY: C?INATURE 1998 BUILDING gERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD • 66122 681-4675 New Construction Reauirements ? 3 registered site surveys • 2 copies oi plans (inGude beam 8 window s¢es; poured (nd, design; etc.) • 1 energy calculations • 3 copies of tree preservation plan if lot platted after 771193 required: _ Yes _ No DATE: -7' I d w DESCRIPTION OF WORK: STREET ADDRESS: RemodeVReoair Reauirements ? 2 copfes oT plan ? 2 site surveys (exterior additions 8 decks) ? 7 energy wlwlations for heated addkions CONSTRUCTION COST; Po/ 060 LOT: BLOCK: ? SUBD./P.I.D. #: rs?0-uQ roe?-'?-?--- Name: QN'YeBf*A ,/7L4??4? ? Phone PROPERTY Last ? Fim OWNER /r ? StreetAddresr. L?/'Af?, n? ??/b?.4 /7?.i? City l^?? State: Zip; 477v-? . CONTRACTOR ARCHITECT/ ENGINEER Company: Phone t?: ! ? ? ?jQ?aZ NEL RESTQqq?ONS Street Add!7M PO BO) APPLE VALLEY, MN 55124 City State: Company: Phone #: bOCs???f0 License# DGd a/Jre Zip: Registration #: StreM Address: City Sewer & water licensed plumber (new construction ony): and lot change is requested once permit is issued. Zip: Penalty applies when address chang read this application and state that the infortnati n i correct and agree to comply with all applicabl City of Eagan Orclinances. Signature of Applicant: of Survey Received USE ONLY _ Yes _ No State: Tree Preservation Pian Received - Yes - No - Not Required { . ?.?;,. BUILDI?i??•; ? G'i t=uundation O 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _ plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition O 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS OFFICE USE ONLY ? 11 Apt./Lodging ? ? 12 Multi RepaidRem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq.ft. sq.ft. Footprint sq. ft. Planning Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/W5 System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bidg Census Unit % SAC SAC Units r • i CITY OF EAGAN 3830 PILOT 1CNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 owI?f£`x"??'k ?.:... .. ? FOR CITY USE ONLY PERMZT # RECEIPT 9 # ?(? DATE: ---- PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS b TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST ? ADD ON _ REPAIR _ OWNER NAME: ???/t? ???f? SITE ADDRESS: 4//3 Y P//H p K(I(/'-AKc/ A/r LOT:-ZZ BIACK I SUBD. YcOf ( (?-'z INSTALLER: ADDRESS : ?y J O CITY: ?iCrN{??r ZIP: 5 S?? 7 PHONE SIGNATURE OF PERMITTEE COMPLETE THE FOLIAWING: N0. FIXTUAES EA. TOTAL ADD-ON MINIMUM 15.00 1 SHOWER 3.00 . O6 -2, WATER CLOSET 3.00 (o O o ? BATH TUB 3.00 eo ? LAVATORY 3.00 .O -4 KITCHEN SINK 3.00 4, 0 v ? LAUNDRY TRAY 3.00 3,,,cpv HOT TUB/SPA 3.00 ? WATER HEATER 3.00 .?.7 ? FLOOR DRAIN 3.00 3d? GAS PIPING OUT. ? (MINIMUM - 1) 3.00 '?-DC7 ? ROUGH OPENINGS 1.50 <fi ? b _ OTHER _ WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 SUBTOTAL S 3 7 S 7? ST. SURCHP.RGE .50 TOTAL: $ 3? • dV PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE ZIP: TOTAL: (SIGNATURE) $ $ CITY OF EAGAN r - . CITY OF EAGAN 3830 PIIAT &NOB ROAD EAGAN, 1N 55122 PHONE (612) 454 8100 MEGW?MIT FOR CITY IISE ONLY PERMIT # RECEIPT p /O DATE : 9Z PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE ] TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH IINIT. ------------------- WORK DESCRIPTION ? NEW CONST ADD ON REPAIR OWNER NAME: FEES ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT DWELLINGS S $15.00 24•09 6.00 3.00 $c-o SO -I I `5 p SUBTOTAL: SiTE Ai)LRESS: rswcee_ S?l:TE SLR?CHP3.GE: 1AT: oloL E INSTALI.ER: ADDRESS:? CITY:_2L ZIP: 5-S'J'z-3 PHONE iF: D lD 6'- /::? % O $ TOT : ?•? SIGNATURE OF'PER-MITTE&U C0M44£RCZAI./TNT1U$TRTAL', PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BIIILDINGS, APARTMENT SUILDINGS, AND MULTI-FAMILY BUILDINGS STHEN SEPARATE PERTSITS ARE NOT REQUIRED FOR EACH DWELLING IINIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: IAT: BIACK _ SUSD. INSTALLER: ADDRESS: CITY: PHONE #: FOR ZIP: CITY OF EAGAN ? SUSD 7.0 FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR MCli j1,000 GF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: (SIGNATURE) ? °0 " 45 f PERMIT City of Eagan Permit Type:Building Permit Number:EA129287 Date Issued:01/28/2015 Permit Category:ePermit Site Address: 4138 Pennsylvania Ave Lot:22 Block: 1 Addition: Stafford Place PID:10-72500-01-220 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Sharon M Oppegard 4138 Pennsylvania Ave Eagan MN 55123 Hammerswingers Inc 12760 Eagle Ridge Dr Burnsville MN 55337 (612) 743-8906 Applicant/Permitee: Signature Issued By: Signature / I For Office Use i , Permit#: �y/ ••—• •—�� E AG N Permit Fee: /.- (0-S� Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections@citvofeagan.com J 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1 y�✓, ` Site Address: t (3 17614)5h-(190 (1 A 3-5./ Unit#: Name: /1L OP Pe 6 A `D Phone: U ia,db [ -0 l 5/ ROwdent/ `1 13 2 i Ea fJ 31'LVF JJ 14 FIVE . E46 0Q.1J Pi S5/?.3 Owner Address/City/Zip: Applicant is: x Owner Contractor Type of Work Description of work: ? et1t<6 a /Lobi tIt�1is5 - a 'o nap Construction Cost: ��' Multi-Family Building: (Yes /No X ) Company: M U 6a -5 LLL Contact: MEND 06 Address: I 1 1 93 l-,E AKA RA' S' City: 1 7(P 65 Contractor State:MO Zip: 55633 Phone:6I).-40®'O(al Email: G ,V Dit«iL 11.0 6e1Ait.,0o'1 License#: 1C-1 I I 7('b Lead Certificate#: If the project is exempt from lead certification, please explain why: $4or16 ter f wer I 19't? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and code • the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the •rk will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Of ,?42 X Applicant's Printed Name Applicant's Signature